Individual provider · Type 1 NPI
Elizabeth Grace Lackey
Professional Counselor · Springfield, MO
NPI number
1093424574
Active
Practice location
829 W Atlantic St Fl 3
Springfield, MO 65803-1517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2022045280 (MO) |
Professional Counselor: Definition to come...
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About NPI 1093424574
Elizabeth Grace Lackey's National Provider Identifier is 1093424574, issued on Nov 23, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Nov 23, 2022.